Laserfiche WebLink
City of t `� (1)�-+ublic Works Department <br /> 390 Towne Centre Drive <br /> Lathrop Ca, 95330 <br /> Front Desk (209)941-7435 <br /> Fax (209)941-7449 <br /> Permit No. 20 10-07 <br /> Cary use only <br /> ENCROACHMENT PERMIT Prepared By alg <br /> Applicant Information: <br /> Applicant Name: Etratus Environmental Inc. Date: 2/10/2010 <br /> Mailing address: 3330 Cameron Park Drive Suite 550city: Cameron Park Zip: 95682 <br /> Encroachment Location: I S60n gmltl, vnrl an Rd <br /> Contractor Information: <br /> Contractor: RSI Drilling Construction Manager: <br /> 220 North East St. 530-668-2424 <br /> Address: Contractor Phone No.: <br /> Woodland 95776 <br /> City: Zip: License No.: C-57 802334 <br /> Bond? M Yes O No See attached. <br /> AMOUNT CHECK/BOND# Release of Bond Approved By: <br /> Two (2) 24-HOUR CONTACTS - NAME & PHONE NO: Allan Dudding 916-837-16R,9 <br /> (M4NDATOR19 <br /> C,nkt nirt4ngor 916-601-9756 <br /> PERMISSION IS HEREBY GRANTED TO: <br /> Destroy 5 ground water monitoring wells, then restore pavement. Project is inconjunct <br /> with Joe's Travel Plaza development. Contractor will notify the construction <br /> inspection department at least 48 hours before the start of work within the right—of—way. <br /> 209-992-0701 <br /> To do work in the City right of way as shown on attached application you are subject to all the provisions on any part of this form, <br /> and or attached hereto. <br /> Your attention is directed to the general provisions printed on the track of this form. This permit is to be strictly <br /> adhered to and no work other that specifically mentioned above,is hereby authorized. <br /> This permit shall be void unless the work hereunder contemplated shall have been completed by: <br /> 2/10 .20 11 <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement to all conditions and requirements of <br /> this permit. <br /> Director of Pu�b�lic-1j5orksr Si at of Applicant: <br /> OFFICE COPY <br />